Prebook 2011-2012
Pre-Book your Flu Vaccine for the 2012-2013 Season

It's not too late to plan ahead! Please fill out the form below to get your reservation in to pre-book your flu vaccine order for the 2012-13 season. As soon as prices become available, we will contact you to confirm your flu vaccine booking and lock in your price.
I am a:
Office Name:
Contact Name:
Address 1:
Address 2:
City:
State:
Zip:
Telephone:
Fax:
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I am interested in pre-booking the following:
GSK Flulaval, 18 years and older, MDV estimated doses
Novartis Fluvirin, 4 years and older, MDV estimated doses
Fluzone, 6 months+, MVD estimated doses
Afluria, 36 months+, MVD estimated doses
Flumist, 2 years - 49 years, nasal sprayer estimated doses
Fluzone, 36 months+, SDV, Preserative-free estimated doses
Afluria, 6 months+, prefilled syringes, Preserative-free estimated doses
Fluzone, 36 months+, prefilled syringes, Preserative-free estimated doses
Fluzone, 6-35 months, prefilled syringes, Preserative-free estimated doses
Or call us toll free at 1-866-451-6337 and someone will be ready to take your information and get your pre-book flu order in!
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